Testicular seminoma

Case contributed by Dr Andrew Dixon

Presentation

Left flank pain.

Patient Data

Age: 30 years
Gender: Male
CT

CT abdomen / pelvis

CT of the abdomen and pelvis demonstrates a large para-aortic mass which in places encases the aorta. It is well circumscribed and has a few small vessels passing through it. The mass results in left-sided ureteric obstruction and hydronephrosis.

An abnormality in the left hemiscrotum can be seen on the most caudal aspect of both axial and coronal reconstructions.

Ultrasound

Testicular ultrasound

US reveals a somewhat heterogenous low echogenicity mass within the left testicle which is enlarged (5.6 cm). The testicle demonstrates normal blood flow. 

Case Discussion

The diagnosis or testicular seminoma was confirmed histologically following orchidectomy. 

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Case information

rID: 9886
Case created: 29th May 2010
Last edited: 25th Feb 2017
System: Urogenital
Inclusion in quiz mode: Included

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